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Evaluating low-level laser therapy effect on reducing orthodontic pain using two laser energy values: a split-mouth randomized placebo-controlled trial

AlSayed Hasan MMA, Sultan K, Hamadah O

European journal of orthodontics · 32 citas

Etiquetas de revisión

Financiación no declarada

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2017-02-21 · Eur J Orthod · vol. 40 · número 1 · págs. 23–28
Editorial
Oxford University Press
Citado
52 citas · más que el 95% de estudios similares · 4.2× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
39 trabajos
Acceso
De pago
Áreas de investigación
Laser Applications in Dentistry and Medicine · Orthodontics and Dentofacial Orthopedics · Biofield Effects and Biophysics
Palabras clave
low-level laser therapy, orthodontic pain, elastomeric separators, laser dose, fixed orthodontic appliances, mandibular first molar, placebo-controlled intervention
MeSH
molar, humans, pain, pain measurement, single-blind method, orthodontics, corrective, mastication, adolescent, adult, female, male, surveys and questionnaires, low-level light therapy, orthodontic appliances, fixed

3 autores

  • Mohammad Moaffak A. AlSayed Hasan🇸🇾 · autor de correspondenciaDamascus University
  • Kinda Sultan🇸🇾Damascus University
  • Omar Hamadah🇸🇾Damascus University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

No randomized controlled trial before has evaluated the role of low-level laser energy in its analgesic effects in orthodontics.

Objective

To evaluate the effect of single application of low-level laser with 4-Joule or 16-Joule energy on pain reduction following elastomeric separators placement.

Trial design

A two-arm parallel-group single-blind placebo-controlled randomized controlled trial, with implementation of split-mouth technique in each group.

Materials and methods

Twenty-six patients in need of orthodontic treatment with a fixed orthodontic appliance were enrolled and randomly allocated to either the 4-Joule or the 16-Joule laser energy group. Elastomeric separators were applied for the mandibular first molars. For each patient one molar received a single low-level laser dose using an 830-nm Ga-Al-As laser device with either 4-Joule or 16-Joule laser beam energy, while the other molar received a placebo treatment by applying the laser device in the same method and parameters as the counterpart molar without emitting the laser beam. The molar to be irradiated was also randomly chosen using simple randomization technique. Allocation was concealed and patients were blinded to which side would receive the laser irradiation. Main outcome measure was the degree of pain scored during mastication for each mandibular first molar after 1, 6, 12, 24, 48, and 72 hours of both laser and placebo treatments application. A questionnaire with an 100-mm Visual Analogue Scale (VAS) was used for pain assessment.

Results

Thirty-six patients were evaluated for eligibility, 10 of them were excluded making the final randomized number 26 patients. One patient dropped out later for not completing the questionnaire. Accordingly, the results of 25 patients were statistically analysed. No statistical significance was found for both low-level laser energy values in comparison to the corresponding placebo treatments. No harms were encountered.

Limitations

Intervention provider was not blinded to the intervention.

Conclusion

Low-level laser therapy, applied at two different laser energy values, is ineffective in relieving elastomeric separators induced orthodontic pain.

Trial registration

This trial was not registered.

Funding

No funding to be declared.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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